FACILITY USE PERMIT REQUIRED FOR THE USE OF THE FIRE STATION MEETING ROOM
A COPY OF THIS PERMIT MAY BE OBTAINED BY CONTACTING THE PRESIDENT OF THE HILLCREST VOL. FIRE DEPARTMENT
HALFMOON
HILLCREST
FACILITY USE PERMIT
NAME OF LESSEE ___________________________________________________
CONTACT PERSON ___________________________________________________
ADDRESS ___________________________________________________
___________________________________________________
PHONE # ___________________________________________________
DATE OF USE: ___________________________________________________
DATE TO RETURN
THIS AGREEMENT IS MADE BETWEEN HALFMOON
1. LESSEE
2. LESSEE AGREES TO PAY A RENTAL FEE OF $ 150.00 FOR USE OF THE FACILITY FOR THE ABOVE DATE. LESSEE UNDERSTANDS THAT UNTIL SUCH TIME AS THE RENTAL FEE IS RECEIVED, THE DATE WILL NOT BE HELD AS “RESERVED” BY THE COMPANY. SAID FEE IS NON- REFUNDABLE, WITHOUT EXCEPTION.
3. LESSEE AGREES TO PAY A DEPOSIT OF $ 50.00; SAID DEPOSIT SHALL BE RETURNED TO THE LESSEE AT THE END OF THE RENTAL PERIOD ONLY IF THE COMPANY DERTERMINES THE FACILITY IS CLEAN
4. LESSEE UNDERSTANDS THAT THE LESSEE IS RESPONSIBLE FOR
5. A
6. LESSEE SHALL PROVIDE ADEQUATE INSURANCE with at least $300,000 in liability coverage FOR USE OF THE FACILITY. As proof of insurance the lessee shall provide a copy of the Declaration Page of their Home Owners Insurance Policy. The copy of the Declaration page must be in place prior to the facility use date or the facility use will be canceled.
Note. Commercial entities shall provide adequate insurance (at least $1,000,000 in liability coverage) for use of the facility naming Halfmoon Fire District #1 and Hillcrest Fire Department, as additional insureds. Said insurance must be in place prior to facility use date or the facility use will be canceled.
7. NO ALCOHOLIC BEVERAGES
8. Smoking is not permitted on the premises; no exceptions.
9. PLEASE ENSURE CHILDREN
10. LESSEE AGREES TO PERSONALLY
11. THERE
The above is agreed to in its entirety:
_______________________________
LESSEE SIGNATURE:
Print Name: _____________________
I, Authorized Official of Halfmoon Fire District #1 and/or Hillcrest Fire Department, acknowledge receipt of Lessee’s Fee for Use of the Facility and in further receipt of a copy of the Declaration Page of lessee’s Home Owners Insurance Policy with at least $300,000 in liability coverage or for commercial entities adequate insurance (at least $1,000,000 in liability coverage) naming Halfmoon Fire District #1 and Hillcrest Fire Department as additional insureds at the above address.
APPROVED BY:
_______________________________
Halfmoon Fire District #1
Hillcrest Fire Department
Authorized Official


